go back

Alaska rates for HCPCS 64636

Destruction by neurolytic agent, paravertebral facet joint nerve(s), with imaging guidance (fluoroscopy or CT); lumbar or sacral, each additional facet joint (List separately in addition to code for primary procedure)

Facilitymedian $1,479 · 10th–90th $62$5,1290%10%20%10th90th$1,479Professionalmedian $204 · 10th–90th $60$7590%10%10th90th$204$2.0$10.0$50.0$200.0$1.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$181.97 / $5,011.87 / $5,888.44
Aetna
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$2,187.76 / $2,187.76 / $5,128.61
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $186.21 / $426.58
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$89.13 / $181.97 / $1,621.81
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$58.88 / $208.93 / $524.81
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$54.95 / $323.59 / $2,630.27
Moda Health
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$2,187.76 / $3,235.94 / $5,370.32
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$114.82 / $295.12 / $1,071.52
Moda Health
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$89.13 / $213.80 / $4,265.80
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$234.42 / $630.96 / $1,023.29
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$61.66 / $295.12 / $1,071.52
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $154.88 / $501.19
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$199.53 / $199.53 / $199.53
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $281.84 / $851.14